18 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Centrilobular emphysema ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
woman of child-bearing ... Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... woman of child-bearing ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... pattern can be readily ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison
Disseminated Cysticercosis - Magnetic resonance imaging (MRI) of the head revealed diffuse hyperintense septated cystic lesions
resonance imaging (MRI ... Coronal MRI of the ... confirmed the diagnosis ... #Clinical #Radiology ... Solium #Microscopy #NEJM
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the differential diagnosis ... associated pulmonary emphysema ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung cyst ... is a possible diagnosis ... small airways leading ... #Clinical #Radiology
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
difficult, often relying ... heavily on clinical ... any stressor (chest ... #Diagnosis #Myocardial ... Definition #NSTEMI #Comparison
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
caused by multiple cysts ... challenging differential diagnosis ... Emphysema however ... #Clinical #Radiology ... Histiocytosis #Cystic